Individual
MR. RYAN THOMAS LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4040 HIGHWAY 17 UNIT 105, MURRELLS INLET, SC 29576-5098
(843) 652-8390
(843) 652-8399
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4438
SC
Other
Enumeration date
06/16/2022
Last updated
04/06/2026
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